IndividualActive
Bethany Wisthoff, MS, ATC
NPI 1205301892 · Athletic Trainer · Newark, DE
Provider details
- NPI number
- 1205301892
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Female
- Sole proprietor
- No
Mailing address
402 Red Fox Ln Apt 2b
Newark, DE 19711-5916
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2018-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.